Individual
JOHN PATRICK VELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600B CONGRESS ST, PORTLAND, ME 04102-2124
(207) 774-5222
(207) 761-4433
Mailing address
1600B CONGRESS ST, PORTLAND, ME 04102-2124
(207) 774-5222
(207) 761-4433
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
015048
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280180099
—
ME
Enumeration date
08/09/2005
Last updated
01/29/2010
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